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Urine Metabolite Index For Pain Assessment

Wisconsin rates for HCPCS 0117U

Helps assess someone with chronic pain by measuring chemical by-products of the body's metabolism in urine. Eleven substances are measured by mass spectrometry, among them methylmalonic acid, homocysteine, quinolinic acid and kynurenic acid, and they are combined into a single overall index.

Rates data updated July 2026.

Facilitymedian $1,549 · 10th–90th $631$3,9810%10%10th90th$1,549Professionalmedian $851 · 10th–90th $646$2,6300%20%10th90th$851$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,290.87
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$794.33
Typical High
$1,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$851.14
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,454.71
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$2,187.76
Typical High
$2,630.27
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,884.03
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$794.33
Typical High
$3,981.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$1,513.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$2,344.23
Network Health
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,000.00
Typical High
$2,398.83
Network Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,698.24
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$758.58
Typical High
$1,071.52
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,995.26
Typical High
$2,754.23
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$3,981.07
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$4,570.88
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$676.08
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$1,513.56